HomeMy WebLinkAboutPV2019-175 - Permits�yt,or City of Newport Beach - Building Divistion
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`_, PO Box 1768 Newport Beach, California 92658-8915
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SOLAR Permit: PV2019-175 IIIIIIIIIIIIIIIIIIIIIIIIIIII
VIIIP
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Project No :2634-2019
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1 7 511111
Job Address: 20341 IRVINE AVE NB
Issued Date : 12109/2019
Description:COMM SOLAR PV SYSTEM. 28 PANELS. 10.36 kw.
Inspector Area: 47 Legal
Desc.:
Owner: BACK BAY JETTY LLC
Contractor:
NYE ELECTRIC Architect:
Address: 20341 IRVINE AV
Address:
15611 PRODUCT LN UNIT 11 Address:
NEWPORT BEACH CA 92660
HUNTINGTON BEACH CA 92649
Phone:
Phone:
714-916-4445 Phone: State Lie:
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Applicant: NYE KEVIN
Con State Lie:
1018680 Engineer: TRUONG PHONG
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Address: 15611 PRODUCT LN UNIT B11
Lie Expire:
0913012020 Address: 20754 TIMBERLINE LN
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HUNTINGTON BEACH CA 92649
Bus Lie:
BT30070036 - WALNUT CA 91789
Phone: 714-9164440
Lie Exp Date:
12/31/2020 Phone: 949-254-2751 State Lic:C-070784
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Code Edit: 2016
Worker's Compensation Insurance Designer:
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Type of Construction: VB
Carrier:
EXEMPT Address:
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Occupancy Group: R31U
Policy No:
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No of Stories: 1
Expire:
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Use Zone:
Building Setbacks
Front: r+ MT) fS NOT ALLOWED FOR
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Bldg Height: 0
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Right: E1(' ERiOR APPLICATIONS
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Valutaion : $36,000.00
Building Permit Fee $580.00
Record Management (8 1/2 X 11)
$0.00
Plan Check Fee: $420.00
Record Management (Plans) :
$0.00
TOTAL FEE: $1,000.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$420.00 Fee Due at Permit Issuance : $580.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:�-"-
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
VNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
ifessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or LJ portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
Irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or
)roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ay to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal)
I a structure tbJt.[Me built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Ifessigns Code, is avisilable upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/calaw.htm].
illflrt of Property Cwner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
webyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions and my license is in full force
I effect. ....
gnst:,Class • • License No Date Contractor Signature
)AkERS' CQVPgNSATION DECLARATION
N1FfC6 FAILURE 19 )SF�(JURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
FVOF COMPENSATIOIN DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
wreliIybaffirm under penalty of perjury one of the following declarations:
I hate and`vLin IIIntain a certificate of consent to self-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
f&M9nce o- the work for which this permit is issued. Policy No.
OAave and 41;Jai;tain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
.trance carrier and policy number are:
Tier _ Policy Number Expiration Date
is of Agent r"""U TM
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject t0 the workers' compensation laws of California, and agrei
, if I should become subj�\S to tf or s' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant ./ Date-
)reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
rder's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter,the ove-id tified pro erty for inspection purposes.
of Property Owner or Authorized Agent
ACTION I DATE
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
Property Owner's or Authorized Agent's Name
OF TITLE40 AND
❑ ! SUBMITTEDASBESTOS NORFICATION TO:
❑ EPA
AOMD
❑ ASBESTOS NORRCATiONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE: